中国实用外科杂志 ›› 2021, Vol. 41 ›› Issue (11): 1252-1256.DOI: 10.19538/j.cjps.issn1005-2208.2021.11.13

• 专题笔谈 • 上一篇    下一篇

乳腺癌术后放疗对植入物重建不同技术策略的影响与思考

熊    敏,陈嘉健,吴    炅   

  1. 复旦大学附属肿瘤医院乳腺外科 复旦大学上海医学院肿瘤学系,上海200032
  • 出版日期:2021-11-01 发布日期:2021-11-08

  • Online:2021-11-01 Published:2021-11-08

摘要: 术后辅助放疗是乳腺癌多学科综合治疗的重要组成部分之一,能够降低局部区域复发率,延长生存期。植入物重建是最为常见的乳房重建方式之一,可以显著提高乳房切除术后病人的外形满意度,改善生活质量。鉴于放疗是乳房重建术后并发症的危险因素,面对乳房切除术后可能计划放疗的病人,应综合考虑肿瘤负荷、术后治疗计划、多学科协作能力、病人意愿、经济条件等诸多因素,审慎制定植入物重建方案,并且告知病人潜在的手术风险。

关键词: 乳腺肿瘤, 植入物重建, 放射治疗, 并发症

Abstract: The influence and consideration of postmastectomy radiotherapy for breast cancer on implant-based breast reconstructions        XIONG Min, CHEN Jia-jian, WU Jiong. Department of Breast Surgery, Fudan University Shanghai Cancer Center and Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China
Corresponding author: WU Jiong, E- mail: wujiong1122@vip. sina.com
Abstract    Postoperative adjuvant radiotherapy is one of the important multidisciplinary treatment for breast carcinoma, which can reduce the local recurrence rate and prolong the patients’ survival time. Implant-based breast reconstruction is one of the most common methods of breast reconstruction, which significantly improves the appearance satisfaction and quality of life of patients after mastectomy. Since radiotherapy is a risk factor of postoperative complications after reconstruction, the plan of implant-based breast reconstruction for patients planning radiotherapy possibly after mastectomy should be carefully designed, and many factors such as tumor load, postoperative treatment planning, multidisciplinary cooperation ability, patients’ willingness, economic position and other factors should be considered comprehensively,and surgeon should inform patients the potential risk of surgery

Key words: breast carcinoma, implant-based breast reconstruction, radiotherapy, complication